Yo, I’ll tell you what I want, what I really, really want
By
Steven Littlehale
Oct 14, 2022
It’s a curious day when I lift a lyric from the Spice Girls to title an article. The Spice Girls’ first single, “Wannabe,” was released in 1996 and rocketed to the top of the British singles chart....
Agency staffing on the rise? Believe it — and plan for it
By
Steven Littlehale
Nov 21, 2016
The use of contract agency staff to fill nurse aide and licensed nurse vacancies is escalating. This increase is seen across many states, not to mention across the nation as a whole. Yes, we have a well-documented...
Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
Nursing Home Compare revisions deserve only 2 stars
By
Steven Littlehale
May 13, 2019
Recent changes to the Nursing Home Compare website leave a lot to be desired. I give them two out of a possible four stars.
New SNF Value-Based Purchasing program: Act now!
By
Steven Littlehale
Apr 28, 2023
When I read my first SNF PPS final rule about 25 years ago, I thought that the start dates for some of its initiatives were so far in the future that they were of no concern. As a young person, my long-range...
Back to before census
By
Steven Littlehale
Dec 10, 2021
One of my favorite lyrics from the musical “Ragtime” is “We can never go back to before.” The character Mother sings about no longer being a slave to societal expectations; she is confident, moving...
Do the new QMs have you seeing stars?
By
Steven Littlehale
Mar 18, 2016
Actions providers take now will make or break their Five-Star Quality Rating experience in July. That’s because the Centers for Medicare & Medicaid Services has changed quality measures in a way...
Who else is using Five-Star? (Who isn’t?)
By
Steven Littlehale
Apr 14, 2016
I continue to be struck by how deep Five-Star has worked its way into the countless nooks and crannies of our industry. It’s far beyond what the Centers for Medicare & Medicaid Services intended...
Increase your occupancy now
By
Steven Littlehale
Aug 02, 2021
Preparing for a presentation is always fun for me, especially when it involves original research. In anticipation of Reimbur$ement-Con, and my session “The Unexpected Nemesis,” we took a deep dive...
Which matters most: Social media or Five-Star?
By
Steven Littlehale
May 27, 2022
Recently my colleague Ken Kelley, MS, OTR/L, RAC-CT, a clinical consultant/reimbursement specialist, posited something about Five-Star ratings that I hadn’t considered. He suggested that, in general,...